DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas, Roscoe Jerome	DOIID	623702	NAIC NPN	555165

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/11/2006	2/28/2018
Inactive	Non Resident	Agent	Health	1/11/2006	2/28/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/10/2006	2/28/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/10/2006	2/28/2018
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	1/13/2006	2/28/2018
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	1/13/2006	2/28/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2012	2/28/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2012	2/28/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/31/2012	2/28/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2012	2/28/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/31/2012	2/28/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/9/2006	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/9/2006	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/28/2008	2/28/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2008	2/28/2018
Inactive	Medlink Inc	400721	Agent - Life	9/14/2006	2/28/2018
Inactive	Medlink Inc	400721	Agent - Health	9/14/2006	2/28/2018